Christie Pharmacy Champaign, LLC

Primary specialty

PharmacistTaxonomy code 183500000X

License

BC8731374 Issued in IL

Legal business name

CHRISTIE PHARMACY CHAMPAIGN, LLC

Practice address

1801 Windsor Rd
Champaign, IL 61822-6217

Phone

(217) 366-1225

NPI assigned

Oct 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William Pierce, D.P.M.

Title

Medical Director/Officer

Phone

(217) 366-1270

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Christie Pharmacy Champaign LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Christie Pharmacy Champaign LLC

  • Community/Retail Pharmacy
  • Champaign, IL
  • NPI 1487749560
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1245325323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 WINDSOR RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618226217",
            "telephone_number": "217-366-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 WINDSOR RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618226217",
            "telephone_number": "217-366-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIE PHARMACY CHAMPAIGN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OFFICER",
        "authorized_official_telephone_number": "217-366-1270",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "BC8731374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371226604001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christie Clinic Pathology LLC
• Christie Clinic, PLLC
• Christie Clinic, PLLC
• Christie Clinic, PLLC
• Christie Pharmacy Champaign LLC
• Jeff Chu, O.D.
• Edward Soojin Chun, D.C.
• Esther Chung, RBT
• Macy Ann Cialkowski, ATC, LAT
• Jakob Cihak

• Pharmacist in Champaign, IL
• Providers in Champaign, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.